Organization
LINCOLNWAY DENTAL LLC
Active
Parent organization
DR SCOTT BARES
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR SCOTT BARES
Authorized official
DR. SCOTT BARES DDS (PRESIDENT)
(815) 275-2680
Entity
Organization
Contact information
Practice address
2501 E LINCOLNWAY UNIT 3, STERLING, IL 61081-3055
(815) 275-2680
Mailing address
1342 S HARLEM AVE, FREEPORT, IL 61032-6231
(815) 275-2680
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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